Individual
AMANDA EVANGELINE CLELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 PRIDE DR, HAMMOND, LA 70401-9523
(985) 419-1666
Mailing address
615 PRIDE DR, HAMMOND, LA 70401-9523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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